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General NPI Number Information
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NPI Number | 1578423265
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Entity Type | Organization
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Legal Business Name | WES PEDIATRICS, LLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 1190 W NORTHERN PKWY STE 101
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City | BALTIMORE
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State | MD
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Zip | 21210-1432
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Country | US
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Telephone | 410-433-0801
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Fax | 410-433-0803
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Provider Business Mailing Address
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Address Line | 1190 W NORTHERN PKWY STE 101
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City | BALTIMORE
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State | MD
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Zip | 21210-1432
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Country | US
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Telephone | 410-433-0801
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Fax | 410-433-0803
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA SUZANNE DEUTSCH
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Credential | CPNP
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Telephone | 410-458-7541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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